Active NPI
Roger Dean Seevers, DDS
- Dentist
- Elkhart, IN
National Provider Identifier
1699869560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12007659A
- Practice address
- 326 W Franklin St
Elkhart, IN 46516 - Phone
- (574) 293-5732
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12007659A | IN | Primary |
Addresses
Primary practice location
326 W Franklin St
Elkhart, IN 46516
Mailing address
PO Box 1770
326 W Franklin St
Elkhart, IN 46515-1770
Phone (574) 293-5732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SEE 22455 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699869560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"address_2": "326 W FRANKLIN ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465151770",
"telephone_number": "574-293-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W FRANKLIN ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "46516",
"telephone_number": "574-293-5732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEVERS",
"first_name": "ROGER",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12007659A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "SEE 22455",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.